新时期社区卫生服务机构发展的困境及对策.pdfVIP

窑工作探讨 窑 中国医药导报 2014年6月第 11卷第 16期 新时期社区卫生服务机构发展的困境及对策 胡 洋 中国医学科学院阜外心血管病医院袁北京 100037 [摘要] 深化医药卫生体制改革以来袁社区卫生服务机构快速发展袁但是社区卫生服务机构作为整个医疗卫生服 务体系的组成部分之一袁仍存在许多自身难以突破的体制机制障碍袁要促进基本医疗卫生服务公平尧可及袁必须 加以改革遥 本文深入分析了当前社区卫生服务机构发展面临的困境及其主要原因袁从国家和社区两个层面提出了 政策建议袁提出在国家层面袁要加强顶层设计袁抓住重点袁统筹协调袁重点是建立分级诊疗制度袁加强人才队伍建 设和信息化建设袁调整完善基层药物政策袁充分考虑各地区实际情况和人口布局差异性等情况进一步完善政策曰 在社区层面袁鼓励社区卫生服务机构在现行条件下袁积极探索和实践袁转变服务模式袁不断提高服务能力和水平遥 [关键词]社区卫生服务曰分级诊疗曰社区人才曰信息化曰药物政策 [中图分类号] R197.1 [文献标识码] B [文章编号] 1673-7210渊2014冤06渊a冤-0154-05 Difficulties and countermeasures of community healthinstitutions in the newperiod HU Yang Fuwai CardiovascularDisease Hospitalofthe ChineseAcademy of Medical Sciences,Beijing 100037,China [Abstract]With the deepening of Chinese health system reform, community health institutions develop rapidly, but as part of the medical and health service system, there are still many difficulies to break through the institutional obsta鄄 cles, mustreformto promote the basic health servicefairness and accessibility.This paper analyzesthe current difficul鄄 ties that the community health institutions are facing, and puts forward the policy suggestions from both national level and communitylevel. Fromthe national level, to strengthenthe top-level designand to overall coordination, to focus on creating the hierarchical diagnosis and treatment system, strengthening the construction of talent team and health in鄄 formatization, adjustingthe currentgrassroots-leveldrugpolicies,fully consideringthe regional actual situationand dif鄄 ference inpopulation layout;fromthe communitylevel,to encourage community health institutions to explore andprac鄄 tice actively,totransform the servicemode, andto continuouslyimprove service abilityunder the condition of current. [Keywords] Comm